Auburn Pediatrics INC
Nurse Practitioner, Pediatrics in Auburn, WV. Organization (NPI-2).
NPI number1982249108
StatusActive
Last updated in NPPESNov 12, 2019
Details
- NPI
- 1982249108
- Entity type
- Organization (NPI-2)
- Legal business name
- Auburn Pediatrics INC
- Organization subpart
- No
- Enumeration date
- Nov 12, 2019
- Last updated
- Nov 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | – | – | Yes |
Practice location
8660 Auburn RdAuburn, WV 26325-7515
Phone 717-494-6233
Mailing address
13306 Marsh PikeHagerstown, MD 21742-2573
Phone 717-494-6233
Authorized official
Christa Martin
Owner/Crnp
7174946233
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